Organization
AMERICAN SENIOR CARE CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ABUBAKAR MOHAMED (ADMINISTRATOR)
(614) 843-2788
Entity
Organization
Contact information
Practice address
3105 W BROAD STREET, SUITE 2, COLUMBUS, OH 43204
(614) 867-5607
(614) 417-5095
Mailing address
3105 W BROAD STREET, SUITE 2, COLUMBUS, OH 43204
(614) 867-5607
(614) 417-5095
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
0174783
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0174783
—
OH
01
—
2570749
DODD CONTRACT NUMBER
OH
Enumeration date
10/05/2016
Last updated
10/05/2016
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